| Dr Michael W Peterson, MD | |
|
600 S Austin Rd, Eagle Lake, TX 77434-3202 | |
| (979) 234-5571 | |
| Not Available |
| Full Name | Dr Michael W Peterson |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 600 S Austin Rd, Eagle Lake, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124110127 | NPI | - | NPPES |
| 029922416 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | K0994 (Texas) | Primary |
| Entity Name | Muenster Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972556009 PECOS PAC ID: 6608785993 Enrollment ID: O20031106000571 |
| Entity Name | Dhhs,phs,naihs Gallup Indian Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225002322 PECOS PAC ID: 3173436409 Enrollment ID: O20031111000840 |
| Entity Name | Questcare Medical Services Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912059247 PECOS PAC ID: 6204739402 Enrollment ID: O20040127000697 |
| Entity Name | Refugio County Memorial Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821178336 PECOS PAC ID: 1153216783 Enrollment ID: O20040220000853 |
| Entity Name | Fisher County Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104808112 PECOS PAC ID: 2163311465 Enrollment ID: O20040315000096 |
| Entity Name | Jackson County Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215971478 PECOS PAC ID: 2365423795 Enrollment ID: O20040601000224 |
| Entity Name | Southwest Medical Associates, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831299122 PECOS PAC ID: 6204882947 Enrollment ID: O20050325000524 |
| Entity Name | Concord Medical Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083630610 PECOS PAC ID: 0446296818 Enrollment ID: O20050707000531 |
| Entity Name | Cahrmc Llc |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1205164928 PECOS PAC ID: 6608916879 Enrollment ID: O20110330000977 |
| Entity Name | Ess Of South Texas Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295128247 PECOS PAC ID: 9739491176 Enrollment ID: O20150629000248 |
| Entity Name | Ess Of Port Lavaca Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922546936 PECOS PAC ID: 2769766005 Enrollment ID: O20170303001868 |
| Entity Name | Preferred Hospital Leasing Muleshoe Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609328806 PECOS PAC ID: 6901124114 Enrollment ID: O20170509002209 |
| Entity Name | Emergency Hospital Systems Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992172019 PECOS PAC ID: 2567765761 Enrollment ID: O20170607000131 |
| Entity Name | Texas Emergency Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699288811 PECOS PAC ID: 0345508768 Enrollment ID: O20171212003035 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael W Peterson, MD 735 N 5th St Ste U, Silsbee, TX 77656-3838 Ph: (409) 291-0004 | Dr Michael W Peterson, MD 600 S Austin Rd, Eagle Lake, TX 77434-3202 Ph: (979) 234-5571 |